Healthcare Provider Details

I. General information

NPI: 1841354834
Provider Name (Legal Business Name): ECHO PLUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 JACKSON AVE
SPIRIT LAKE IA
51360-1248
US

IV. Provider business mailing address

1808 JACKSON AVE
SPIRIT LAKE IA
51360-1248
US

V. Phone/Fax

Practice location:
  • Phone: 712-336-4052
  • Fax: 712-336-4052
Mailing address:
  • Phone: 712-336-4052
  • Fax: 712-336-4052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number0121111
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number0121111
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number0121111
License Number StateIA

VIII. Authorized Official

Name: MR. DANIEL JOHN YOUNGBLUT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 712-336-4052